Froedtert Holy Family Memorial Hospital — price list
← Hospital overviewVerified from Froedtert Holy Family Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC DOPPLR ECHO PLSE WAVE SPECT DISPL FOLLW-UP LTD Inpatient | 93321 CPT | $309 | $170 | $185 – $272 | — | |
| HC ETHYL GLUCURONIDE CONFIRMATION, ALCOHOL BIOMARKERS, 1 OR 2 Inpatient | 80321 CPT | $133 | $73.15 | $79.80 – $117 | — | |
| HC INSERT REPL TEMP TRNVEN SGL CHMBR ELCTR PM CATH Inpatient | 33210 CPT | $9,822 | $5,402 | $5,893 – $8,643 | — | |
| HC MRI, UPPER EXTREMITY, OTHER THAN JOINT, WITHOUT CONTRAST Inpatient | 73218 CPT | $4,400 | $2,420 | $2,640 – $3,872 | — | |
| HC REPOSITION PREV IMPL TRANSVEN PM OR IMPL DEFIB ELECTRODE Inpatient | 33215 CPT | $4,665 | $2,566 | $2,799 – $4,105 | — | |
| HC SEMEN ANAL SPERM DETECTION Inpatient | 89321 CPT | $154 | $84.70 | $92.40 – $136 | — |